国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (4): 405-410.doi: 10.7518/gjkq.2017.04.008

• 论著 • 上一篇    下一篇

稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验的系统评价

黎静1, 刘星辰1, 李佳园2, 李小兵1   

  1. 1.口腔疾病研究国家重点实验室,国家口腔疾病临床研究中心,四川大学华西口腔医院儿童口腔科 成都 610041;
    2.四川大学华西公共卫生学院流行病学教研室 成都 610041
  • 收稿日期:2016-09-02 修回日期:2017-01-17 出版日期:2017-07-01 发布日期:2017-07-01
  • 通讯作者: 李小兵,教授,博士,Email：909984963@qq.com
  • 作者简介:黎静,硕士,Email：837019676@qq.com

Stabilization splint treatment for chronic temporomandibular joint disk displacement without reduction: a systematic review based on randomized controlled trials

Li Jing1, Liu Xingchen1, Li Jiayuan2, Li Xiaobing1   

  1. 1. State Key Labora-tory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Pediatrics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    2. Dept. of Epidemiology, West China School of Public Health, Sichuan University, Chengdu 610041, China
  • Received:2016-09-02 Revised:2017-01-17 Online:2017-07-01 Published:2017-07-01

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摘要： 目的 运用系统评价方法总结稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验,评价稳定咬合板治疗慢性颞下颌关节盘不可复性移位的有效性。方法 检索电子数据库CENTRAL、Medline、EMBASE（Ovid）、CBM和CNKI,检索时间至2015年7月,手工检索19种中文口腔医学杂志。按照纳入、排除标准筛选相关研究,提取数据并进行风险偏倚评价。采用Rveman 5.3.5进行Meta分析。结果 最终纳入6项研究,其中4个为中等偏倚风险,2项为高偏倚风险。与其他保守治疗相比,在短期内稳定咬合板改善颞下颌关节盘不可复性移位患者的疼痛和最大张口度无明显优势（P>0.05）;在长期疗效上,稳定咬合板可提高治疗的成功率（P<0.01）。结论 稳定咬合板治疗颞下颌关节盘不可复性移位的长期疗效需要更多高质量随机对照试验进一步的证实。

关键词: 咬合板, 颞下颌关节, 系统评价, Meta分析

Abstract: Objective This study aims to assess the efficacy of stabilization splint(SS) treatment on patients with chronic temporomandibular joint disk displacement without reduction(DDwoR) through systematic review of relevant randomized controlled trials. Methods An electronic search strategy was performed on Cochrane Central, Medline, EMBASE(Ovid), Chinese Biomedical Database, and China National Knowledge Infrastructure until July 2015. A manual search covering 19 dental journals in Chinese was performed as well. Data extraction of included studies and risk of bias assessment with the recommended tool of Cochrane Collaboration was then performed. Meta-analysis was processed by Rveman 5.3.5. Results Four studies of unclear risk of bias and two studies of high-risk bias were included. Compared with other conservative therapies, SS did not show a significant advantage(P>0.05) on pain relief and maximal mouth opening of DDwoR patients in the short term. However, SS may have increased the success rate(P<0.01) in the long term. Conclusion High-quality randomized controlled trials are necessary for the evaluation of the long-term efficacy of SS treatment on chronic DDwoR.

Key words: splint, temporomandibular joint, systematic review, Meta analysis

中图分类号: 

  • R782.6
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